Chapter 204

"You're so stingy, what's the point?"

"It's not like he's just a PhD student, right?" Duan Hong's chubby face smiled, his chubby neck flesh round and soft; as he turned back to the operating table, his tone was kind and approachable.

Although he was complaining about Deng Yong, his gaze remained fixed on Fang Ziye.

Hearing Professor Duan Hong's words, many people tilted their heads to look at what Fang Ziye was doing, their bodies trembling slightly, all exclaiming "Holy crap."

It wasn't that they lacked psychological resilience, but rather that the completeness of Fang Ziye's selection and splicing of the bone fragments at this moment exceeded their understanding.

Even if it weren't for the fact that Fang Ziye had spliced them together later, they could have completely suspected that these bone fragments were smashed apart by Fang Ziye himself upon reaching the operating table.

Simply unbelievable.

Ordinary people wouldn't even dare to think of it.

Professor Deng Yong led Fang Ziye to lower his head and continue working, beginning to manage the blood vessels and nerves, while the debridement and shaping of the muscles were placed for later.

He said while speaking: "That's not generosity on your part; that's me treating you as a brother, yet you treat me as an idiot."

"Limb reconstruction surgery, the hardest part is shaping the bone."

"Duan Hong, are you insulting my personality, or my intelligence, or do you think I've never seen the world?" Deng Yong asked jokingly at the end.

Currently, the three most difficult hard bones in trauma surgery are osteotomy correction, the treatment of mangled extremities, and limb reconstruction surgery.

Any one of them, if successfully developed, would likely occupy half of the academic and clinical circles of Eastern Han, possessing the confidence to discuss swords on Huashan and meet all the heroes under heaven.

Although Fang Ziye's current bone splicing technique is still far from such a level, just this basic skill, if he proceeds in this direction in the future, his internal strength will be at least twice as good as others'.

At least, as far as Deng Yong knows domestically, there isn't a single professor who can distinguish and splice these bones to such a degree among a pile of bone fragments like Fang Ziye.

This is a relative lack of understanding in the realm of basic theory, and further deepening and breakthroughs are needed.

Actually, theories are often integrated with each other.

When performing closed reduction, when analyzing the characteristics of the bone tissue itself, these theories can certainly serve as one of the foundational theoretical bases for other techniques.

How shameless Duan Hong is, to be able to say it's just a PhD student.

How lacking in vision and insight Deng Yong must be, to give away such a fine piece of jade embryo; who doesn't want to reach the top?

Duan Hong's eyelids twitched for a while, showing no sign of embarrassment at all.

"Just a joke, don't take it seriously; a student and a disciple aren't the same thing, right?" Duan Hong began to play the emotional card, his tone a bit smarmy, as if trying to draw closer to Fang Ziye.

Wu Xuanqi immediately seized the key point and took the opportunity to say: "Ziye, once the research results of the fracture classification project of your group come out, remember to let me observe in advance."

"I and Doctor Chen have a great interest in closed reduction techniques and also want to improve ourselves."

"Teacher Deng, is that okay?" Wu Xuanqi asked Fang Ziye first, then shifted the focus to Deng Yong's side.

Deng Yong nodded: "Public exchange, perform the surgery first."

"Bone splicing is just a small step in this surgery; if the blood vessels and nerves aren't handled well, and the muscle bed isn't managed, even if you splice the fracture back together, it's useless."

"Unable to move after surgery, that's a vase." Deng Yong didn't want to give Fang Ziye too strong a halo, so he actively took away a layer of Fang Ziye's confidence.

But Wu Xuanqi said: "Professor Deng, as long as we can first create a prototype of limb reconstruction surgery, I'll see if I can, together with Doctor Chen, do our best to make his functional rehabilitation good."

"Traditional Chinese Medicine still has a deep research foundation in terms of functional reconstruction and functional rehabilitation."

"Currently, the sanatorium project Doctor Chen plans to build has an important link, which is functional rehabilitation and reconstruction, but the prerequisite for functional rehabilitation and reconstruction is anatomical reconstruction."

Anatomy determines function.

Without the existence of a hand, how can hand function be restored?

Duan Hong also joined the team for vascular exploration surgery; his coordination with Wu Xuanqi was somewhat more tacit than that of Fang Ziye and Deng Yong.

Deng Yong was also leading Fang Ziye in surgery; although there was no teaching, some details displayed in his hands were very beneficial to Fang Ziye.

This is Professor Deng Yong's own understanding of teaching: teaching through surgery, tireless, not a massive feeding technique.

He then asked: "Oh! Is that so?"

"I was saying, during the previous period, the group was collecting experts in Traditional Chinese Medicine and Hand Surgery; there must be some significant movement. It turns out it was for the functional rehabilitation project."

"If it can be done, that's very good."

"What group?" Deng Yong's sentence directly left Wu Xuanqi speechless.

Hearing this, Duan Hong tilted his head and hurried to explain: "The expert group of Hubei Province, and also the medical health care group of Hubei Province; you don't know about it and can't access it."

Although Wu Xuanqi couldn't access it, he couldn't possibly have no understanding at all.

The expert group is easy to understand; as for the medical health care group, this isn't an ordinary medical health care task, but a special medical health care task.

Generally speaking, such a group is only for national-level leaders, providing a medical logistics team on standby at any time after they arrive in Hubei Province.

Wu Xuanqi naturally couldn't access it.

Naturally, Wu Xuanqi didn't continue to inquire about content he couldn't access.

Professor Deng Yong also quickly led the group to skip this topic!

However, Professor Deng Yong and Professor Duan Hong were both very capable and showed care for their students; while debriding on one side, they asked the vascular surgery people: "Director Peng, our orthopedics' blood vessels, can we send someone to handle them ourselves?"

Peng Yuanming, that is, the director of the Hepatobiliary and Pancreatic Surgery Department, which also hung the sign of Vascular Surgery.

Hearing Professor Deng Yong ask this, he, who was performing surgery with Nie Mingxian, trembled immediately and squeezed out a smile: "Teacher Deng, Teacher Duan, if you can perform demonstration surgery, that would be best."

"You two are famous experts; don't joke with us students anymore."

In Vascular Surgery, he was just hanging a title; even compared to Wu Xuanqi in front, he had to admit inferiority. Duan Hong and Deng Yong were both top-tier trauma surgery professors; their techniques in handling blood vessels were definitely more proficient than his own.

Since even a complex procedure like pelvic reconstruction surgery could be solved, there must be many vascular problems to handle in this process; how could Peng Yuanming dare to disagree.

"Then we'll do it ourselves?"

"Doctor Nie. Professor Mao?" Duan Hong asked Nie Mingxian and a person beside Nie Mingxian in this way, with a very polite tone.

Upon hearing the words Professor Mao, a hint of doubt flashed in Fang Ziye's heart; how did another professor pop up, one that Professor Duan Hong respected so much.

"Professor Duan is too polite, no need to ask." The middle-aged man beside Nie Mingxian replied in a gentle and warm tone, without raising his head.

Fang Ziye looked at the other party and discovered that even Doctor Wu Xuanqi by Professor Duan Hong's side was extremely puzzled, seemingly knowing nothing about the existence of this Professor Mao.

After receiving Professor Mao's reply, Deng Yong tapped Fang Ziye's hand, signaling that Fang Ziye could operate.

Vascular anastomosis, although in trauma surgery it is not valued as absolutely as in hand surgery, is still a skill occasionally needed in clinical practice.

If Fang Ziye wants to develop in the direction of limb reconstruction surgery, or in the direction of mangled extremity treatment in the future, the skill of vascular anastomosis is definitely something he must master!

Fang Ziye naturally wouldn't be rude about it.

With his teacher right beside him, backing him up, why would he be scared of anything?

He picked up the needle holder, took the vascular suture thread, and started working...

Time slowly passed.

While Fang Ziye and Wu Xuanqi were anastomosing vessels, Professor Deng Yong was responsible for managing the debridement of the muscle bed, while Wu Xuanqi's teacher, Professor Duan Hong, went to the lower limb to help, also performing vascular exploration and cleanup.

Fang Ziye anastomosed six vessels in a row, but still fewer than Wu Xuanqi; Wu Xuanqi's vascular anastomosis proficiency was much higher than Fang Ziye's, at least one level higher, so he anastomosed nine.

However, Fang Ziye wasn't greedy for more; as long as he had some minor operations to do, it was fine.

For a major surgery like this, controlling the surgical process and being the backbone are the two professors, Deng Yong and Duan Hong; everyone else, such as Director Zhang Mingcan, Director Hong Du, and Director Wu Guo Nan, are just assistants helping out.

Being able to follow his master and scrape some operations is already very good.

After finishing the vascular anastomosis, Fang Ziye didn't get greedy for more either.

Deng Yong instructed: "You go over there, take the previously screened fibula, iliac bone, and part of the cancellous bone, and perform osteotomy processing to serve as graft material."

"It would be best if you can complete the osteotomy splicing and fix the defect areas of the remaining bones; later I'll take you to harvest the contralateral fibula as well for autogenous bone graft material."

"This patient has too many bone defect segments..."

After calling Fang Ziye over, Deng Yong looked enviously at Wu Xuanqi, who was already performing nerve anastomosis, and said: "Professor Duan Hong, Xiao Wu's technique — it's a waste for him not to go into hand surgery."

Hearing this, Wu Xuanqi slightly raised his head and explained: "Teacher Deng, our hospital doesn't have a separate hand surgery department, so we only do it occasionally; please don't laugh."

"I heard from my teacher that Professor Deng, your specialty is vascularized bone flap transplantation; I wonder if this patient has a suitable site for transplantation?"

Wu Xuanqi was actively seeking teaching from Deng Yong.

Deng Yong looked around and shook his head: "Difficult. Vascularized bone transplantation is impossible, but vascular reconstruction after fracture internal fixation will be very necessary later."

"Vascular transposition, tendon nerve transposition — Xiao Wu, you should be quite skilled at these; how about doing them together with Director Wu later?"

"Thank you, Teacher Deng." Wu Xuanqi didn't refuse.

Fang Ziye could only watch enviously from the side, not even daring to volunteer himself.

Because the surgeries Deng Yong mentioned, he would find it hard to even get a peripheral involvement.

Vascular transposition isn't just simple artery and vessel anastomosis; he currently only has anastomosis at Level 4, and the even more delicate surgical operations in the hand surgery direction are all half-understood, unable to be directly used.

Better to do his own osteotomy well.

Fang Ziye went to the sterile operating table again, looked around left and right, then thought about how to piece together the bone defect segments with osteotomy, and at the same time, Fang Ziye was still thinking.

Later when they do vascular transplantation reconstruction, how will Professor Deng Yong and Professor Duan Hong approach it, this messy situation.

Trauma surgery disease types and operations go far beyond fractures, yet they are still fractures, just with hundreds of extra twists and turns on top of fractures, needing to be solved one by one.

High-end game — Fang Ziye currently cannot insert himself into it.

Fang Ziye's osteotomy, with limited conditions, can only be described as middling.

Therefore, when his master occasionally turned his head to glance, he didn't find anything particularly stunning. But he did notice his osteotomy had improved, and gave a slight word of encouragement.

Professor Duan Hong, finding a moment, also tiptoed to take a look, then 'twisted' Fang Ziye into a round of praise, making Professor Deng Yong curse loudly.

"Professor Duan, this flattery-to-destroy routine isn't allowed, you know."

"Don't bully our Xiao Fang for being young either; he's not even twenty-seven this year. Don't despise a youth's poverty." Deng Yong hehe'd.

Then he looked at Wu Xuanqi again and hehe'd once more.

Hearing Professor Deng Yong's words, most people fell silent, even Nie Mingxian and Professor Mao beside him couldn't help but glance toward Fang Ziye.

Truthfully, in the surgical system, those under thirty are basically all standing down below.

In a scene like this, if it were a tertiary teaching hospital, anyone below associate professor would only be able to stare helplessly, with absolutely no chance to get on the operating table.

But a surgeon's age cannot be judged by surface alone, so they just assumed Fang Ziye was also close to thirty, the age of a soon-to-graduate doctor, which was a bit more understandable.

Only twenty-six or seven, so young, yet actually able to get something to do in such a major surgery, and do it very well at that.

This made many people feel a bit ashamed and panicked!

Quite a sense of same age, different fate.

In the subsequent operations, Fang Ziye truly couldn't participate, although occasionally Professor Duan Hong boldly fed him some.

Perhaps Professor Duan Hong did this because his own student Wu Xuanqi had a bit too many practice opportunities.

Even Professor Deng Yong looked toward Fang Ziye.

Fang Ziye secretly regretted: when the book is needed, you hate having too little; when skills are needed in surgery, you only blame having not enough.

After Fang Ziye's osteotomy was completed, he stood to the side, standing straight and looking in, a smile on his lips: "I can't, thank you Professor Duan."

"I won't."

"Can't do it!"

"Forcing it is still not good." Fang Ziye guarded his absolute bottom line.

Without a diamond drill, don't take on porcelain work; he himself, after all, has only had the panel for a short time, and in one year being able to catch up to part of the years of effort and accumulation of same-age top geniuses is already lucky.

Even Wu Xuanqi re-accumulated for four or five years.

Compared to them, there's still a not-small gap in the accumulation of time depth.

He himself isn't a novice now!

For example, manual reduction technique — he's even stronger than Wu Xuanqi.

In osteotomy, Wu Xuanqi, who previously focused on hand surgery, doesn't get involved at all. Furthermore, academic accumulation and understanding of bone tissue basic theory — when Wu Xuanqi talks about this, he also stays silent.

Not knowing is not knowing; this is the foundation of scholarship.

The surgery continued, Fang Ziye continued to be idle.

After getting off the table on time and eating dinner, Fang Ziye returned to the operating room, standing on tiptoe to watch while taking on the circulating nurse's task of opening instruments, without scrubbing in again.

Professor Duan Hong and the others, meanwhile, took turns getting off the table to eat, then scrubbed back in.

The surgery after Fang Ziye got off the table continued for another twelve hours, not finishing until four o'clock in the early morning of the next day.

Counting from when Huang Kai was injured until now, nearly twenty hours had passed; the surgery duration exceeded eighteen hours.

And at this point, what was completed was only the orthopedics surgery and part of the vascular surgery.

There were still some of Huang Kai's organ injuries — liver rupture, intestinal rupture, etc. — still undergoing surgical treatment.

Fang Ziye was the one supporting his Master off the table.

Wu Xuanqi and Professor Duan Hong, on the other hand, were both being supported by other people.

Never mind performing surgery continuously for this long — even if you just stood this long, given the chance to move freely, what would your legs be like?

Anyone who's sat on a standing-room ticket on a train understands.

"Master, Teacher Duan, how about going down for a drink first?"

"At this hour, the early-rising congee stalls have already opened; I ordered some congee, don't know when it'll be delivered." Fang Ziye very sensibly handled the logistics work.

Of course, Director Wu Guo Nan and Director Zhang Mingcan and the others also had people making arrangements, but it was simply that the opportunity to get close to the two big shots Deng Yong and Professor Duan Hong was given to Fang Ziye.

Since the afternoon meal, over eight hours had passed; the two professors hadn't eaten a grain of rice, the surgery was still ongoing, and their physical strength consumption was certainly enormous.

Fang Ziye opened the takeout page: "Nine minutes until delivery."

"Master, after we eat, let's go rest?"

"Good! ~" Deng Yong didn't stand on ceremony; together with Duan Hong and Wu Xuanqi, the three of them left the operating room, doing stretching movements in the corridor.

Twisting their waists, shifting their buttocks, cracking their necks...

"Ai! ~" Deng Yong sighed, looking at Wu Xuanqi just jumping a few times as if he'd come back to life; he leaned his old waist, filled with envy.

"Still, one gets old — this physical strength can't keep up."

Wu Xuanqi heard this and said: "Teacher Deng, your experience and fire candidate — we young ones have to fight with physical strength and time to possibly obtain them. We envy you too."

"All the accumulation is already enough, and the technique is excellent now! ~ It's the prime of life."

Wu Xuanqi was half complimenting, half stating facts.

Surgeons around fifty are indeed at the peak period of comprehensive technique; at this time, the sum of theory, cognition, operation, and physical strength is the peak.

The further on, theory and cognition certainly become more and more exquisite and behind, but fine operation and physical strength will decline.

"How come you're just like your Master?" Deng Yong rolled his eyes.

"At any rate, it's what I exchanged for twenty more years of time than you."

Wu Xuanqi then looked at Fang Ziye, about to speak, when Deng Yong hurriedly patted Fang Ziye's shoulder and said: "You go find out clearly where Professor Duan and Doctor Wu are resting respectively."

"They're tired too."

Professor Duan Hong, forced to exhaustion needing immediate rest, touched the soft flesh on his neck: "Deng Yong, how are you so stingy? Xiao Wu and Ziye can't even say two words without you being this insecure, afraid Ziye'll be poached through the backdoor?"

"I'm afraid you're too shameless."

"Not to mention whether it's said or not, this limb reconstruction surgery — in terms of surgical approach, our cooperation barely counts as completed; doesn't this count as creating the province's first precedent?" Deng Yong asked Duan Hong, while looking at Fang Ziye with doting affection, his mood slightly improving again.

(Chapter End)